Journal of Clinical Case Reports

Gutowski P

Publications

• Research Article
  Accessory Renal Blood Vessels as the Potential Risk Factor of Renal Failure for Endovascular Treatment in Abdominal Aortic Aneurysm
  Author(s): Zietek-Czeszak A, Gutowski P and Zietek ZZietek-Czeszak A, Gutowski P and Zietek Z
  
  Purpose: Despite the advantages of endovascular procedures (EVAR) some authors are doubts to recommend this method for some patients. It main concerns the patients with accessory renal arteries (ARAs) and an increased risk of kidney failure. The aim of this work was to evaluate the impact of accessory renal arteries on the renal complications after EVAR. Methods: 54 of non-randomized patients with ARAs were enrolled to project. The endovascular aneurysm repair (EVAR) was performed in 30 patients and in other 24 classical surgery. 70 patients without ARAs composed the control. Kidney condition was estimated on RIFLE-AKIN classification evaluating concentration of creatinine, urea, glomerular filtration rate (GFR), and urine output per hour (UO). The multivariate regression analysis (ANCOVA test) was applied to correct for confounding and increas.. Read More»
  DOI: 10.4172/2165-7920.10001116

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